Efficiency analysis in public hospital services in brazilian capitals

• Autor(a) principal: Silva, Vanderléia de Souza da
• Data de Publicação: 2017
• Outros Autores: Kakihara, Alessandra Ayumi S. B. de S., Poker, Johan Hendrik, Milani Filho, Marco Antonio, Belli, Márcio Marcelo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Produção Online
• DOI: 10.14488/1676-1901.v17i3.2769
• Texto Completo: https://www.producaoonline.org.br/rpo/article/view/2769
• topic: Data envelopment analysis. Public expenditure. Spending efficiency. Public hospitals.; Análise Envoltória de Dados. Gasto público. Eficiência do gasto. Hospitais públicos.

The aim of this study was to analyze the efficiency of public hospitals services in 26 Brazilian state capitals and the Federal District in the treatment of diseases in medical clinic with the top mortality rates of the ICD-10 chapters in 2014. The methodology applied was the Data Envelopment Analysis (DEA) with the VRS model (Variable Returns of Scale), oriented to inputs. The data used in this were the hospitalization in I, IX and X ICD-10 chapters; mortality rates; permanency average and AIH average. Thus, six capitals were efficient: Porto Velho, Rio Branco, Boa Vista, Palmas, São Paulo and Vitoria. This paper proposed as differential a method to take into account the factors involved in the observed efficiency, promoting further analysis of the results, where the observed results were compared to the expected by relationship with the intervening variables. Identifying the influence of the percentage of rural population, counties HDI and SUS hospitals amount in efficiency achieved in the public hospitals services in the studied counties.